"Assassination F Records Review I Board
Final Determination Notification oe

oe AGENCY HSCA os
“RECORD ‘NUMBER : 180- 10070- 10169.
“0.4 5) RECORD | (‘SERIES + STAFF PAYROLL ‘RECORDS.
_ AGENCY FILE [NUMBER +”

: December 8, 1995

“Status of Document: "Postponed i in Part

. Number of releases of previously postponed information: 2 . eae
“Reason for Board Action: The Review Board's decision was premised o on several factors
_including: (a) the significant historical interest in the document in question; (b) the

~ absence of evidence that the release, of the information would cause harm t to the United
States or to any, individual... Bay eS ee -

“Number of Postponements: 1

“Reason for Board ‘Action: The text i is s redacted because the public disclosure of the redaction could.
-:- reasonably be. expected to constitute an unwarranted i invasion of personal privacy, and that i invasion of |
Privacy: would be SO substantial that it it outweighs. the Public ir interest. 8 PS, ee

Substitute Language: SSN a ee .

oo “Date of of Next Review: 2017,

: Board Review Completed: 1072495 :


1B

- . | ‘Date: 08/20/93
ae Soo Page: 1. -
eK ASSASSINATION. ( SYSTEK oo ee

‘IDENTIFICATION FORM

a AGENCY “INFORMATION |
Ts “AGENCY “HSCA. ;
.RECORD NUMBER _180- 10070- 10169.

Bye "RECORDS SERIES oe
STAFF PAYROLL RECORDS ce

AGENCY. FILE NUMBER RE os

DOCUMENT INFORMATION. Coe

a “ORIGINATOR iegaa ce
“TO.

| DATE : 11/03/78
‘PAGES : 20

—. supgEers pbs.
"HSCA; ADMINISTRATION —
“WATRISS, HELEN WHITNEY

- DOCUMENT. ‘TYPE

- CLASSIFICATION =

. “ RESTRICTIONS

a ~ CURRENT STATUS
DATE (OF LAST REVIEW

PRINTED ‘FORM
U-

Bo
ope
07/16/93

OPENING ‘CRITERIA

TR) ~ ITEM 1s RESTRICTED.

“NW :88326 ne
-Docld:32244111 Page 2


ype RT -fPleose Use: roeon

a ot If employee i is a civil. service. annuitant (includes U. s: House’ of Representatives, the “gross: annual salary shown should: inchide the: annuity recéived by. the employee

jo
| ~(Any- erasures, corrections,or changes -
. on-this form must. be: initialed by the

“or Ballpoint Pen authorizing official.)

To the Clerk of the House of Representatives: nee BEE Lae - eee cay : ; 4 a

| hereby authorize the following payroll: action:

i
i

__ Empiyos|N

“Effective a bate
Hovenber 35 i978
Type ‘of Faction =

a Appointment
_. |. 0 Salary. Adjustment =. Soe
an baa Title Change - cs Me ge

.O Termination (At close of business on effective date): -

Oo Leave without pay. (Beginning with effective date above and ending
close of business . aoe )

__ Specify | Date a.
Al type of action is an- Appointment, Salary’ Adjustment, -or Title: ‘Change, complete appropridte information: below.) _

i Position: Title ne es eee Gross Annual Salary*

“ asstatant Batcor ce | $27,000,007

~ plus the salary, received from the employing office,

(If Committee Employee, complete ‘appropriate item below): -

le oO Standing Cominittee: “Staff—O Clerical. or. a Professional.

3. o Joint, .Commitiée

. (lf Employee 0 of an n Officer o the. House, ‘complete: item below) ° a me

Af applicable, Level_ Step :

r authorization ‘is not in ‘violation: of ‘5. USC 311006), prohibiting

g the: employment of

(Signature of ‘Authorizing Officiol) »

LOWS STORES

~ ype’ print nome: of huikacizing Official eo

: ‘trees or ‘pent name ‘ond fille of above official) . (Ties if Member, ‘District ond d State):

All ‘appointments and salary adjustments for employees: under the House ‘Classification: Act and for Committee: em-: |

- ployees, -except.-those of: the Committee on Appropriations; the-Committeé -on ‘the: Budget, and’ the-Joirit Committees; must
be approved -by the: Committee on House Administration. * tts co ’ :

Choirman, Commins on House Administration.

“APPROVED:

Office of Finance use. only: _
Office Code.

.-

: (Revised: August | 1977} “

. . a

hw 88326 | re “ of : ~ oor TEES ae ae

cld:32244111 Page3 st a ON PO

Any Current Member of Congress

Date ——_l\ | &

(Employing Authority)

current Member of Congress.

father nephew

mother niece

son husband

daughter wife

brother father-in-law

sister mother-in-law

uncle . son-in-law

aunt daughter-in-law
\ first cousin brother-in-law

[_] I certify that I am the

(Relationship)

Honorable
{Name of Member to whom related)

Welu. While lees,

SPO 16-78695-3

Certificate of Relationship/N onrelationship to

3

To: Select (ommivttee om Assassinations

ix] I certify that I do not have any of the following relationships to any

sister-in-law
stepfather
stepmother
stepson

- stepdaughter

stepbrother
stepsister
half-brother
half-sister

of the

| NW 88326 . ——
ocld:32244111 Page 4

|

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Dip tere yy,

